Individual provider Active NPI

Amanda Kay Hillebrand, M.S., CCC-A

  • Audiologist
  • Peoria, IL
National Provider Identifier
1558514398
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001182 Issued in IL
Practice address
8600 N. State RT 91
Suite 300
Peoria, IL 61615-7832
Phone
(309) 691-6616
Fax
(309) 691-2943
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001182 IL Primary

Addresses

Primary practice location

8600 N. State RT 91
Suite 300
Peoria, IL 61615-7832

Mailing address

8600 N. State RT 91
Suite 300
Peoria, IL 61615-7832
Phone (309) 691-6616

Other names 1

  • Ms. Amanda Kay Urhahn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081223000067 IL Practitioner - Qualified Audiologist 9739241928 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
147.001182ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center CurrentSince Oct 22, 2024 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint Francis Medical Center Audiologist CurrentSince Oct 22, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 24, 2018 Accepting new patients

Locations

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 200
Peoria, IL 61615
Phone (309) 683-5050

8600 State Route 91
Ste 300
Peoria, IL 61615
Phone (309) 691-6616

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1558514398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 N. STATE RT 91",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157832",
            "telephone_number": "309-691-6616",
            "fax_number": "309-691-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N. STATE RT 91",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157832",
            "telephone_number": "309-691-6616",
            "fax_number": "309-691-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEBRAND",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "URHAHN",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "M.S., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.